Enterococcal bacteremia in a medical center

BACKGROUND: The enterococci have become important nosocomial pathogens. They can cause multiple site infections and enterococcal bacteremia becomes more frequently associated with a high mortality rate. Previous studies of enterococcal bacteremia showed a variety of results. To establish the significance and importance of enterococci as nosocomial pathogens in this hospital, to characterize their clinical pictures and to search for the risk factors for mortality, this retrospective study was performed. METHODS: There were 208 cases of enterococcal bacteremia which occurred from 1988 to 1992. Twenty-seven cases had no medical charts, dismissing possibility of evaluation. Finally, 181 cases of enterococcal bacteremia were analysed. RESULTS: One hundred and eighteen episodes were nosocomial infections. Polymicrobial bacteremia occurred in 68.5% of the patients and the most common co-isolate was Pseudomonas aeruginosa. Those patients (78.5%) with underlying diseases and malignancies were the most common underlying problems. The portal of entry could be found in 69.6 percent of patients, with the gastrointestinal tract the most common sources. Antimicrobial susceptibility testing showed high gentamicin resistance rate (89.5%), and ampicillin still had about 80 percent sensitivity rate. The group who received specific antibiotic therapy for enterococcus showed lower mortality (36.4% versus 47.6%). Only one case had infective endocarditis. Forty-nine patients suffered from septic shock, the cause of 30 deaths. Totally 75 patients died during hospitalization. Besides sepsis, another major cause of death was their underlying diseases itself. CONCLUSIONS: Enterococci have no doubt become important nosocomial pathogens and enterococcal bacteremia were associated with high mortality, especially in elderly patients with underlying diseases such as malignancy or diabetes. When clinically dealing with sepsis from the gastrointestinal or biliary tract, especially when previous cephalosporins therapy showed no response, the possibility of enterococcal bacteremia should always be considered.     

普陀区静态交通规划构想

面对日益突出的城市静态交通问题,针对普陀区所处的地理位置和发展形势,提出了在普陀区实施静态交通规划(包括技术路线、政策研究及相关的经济分析方法)的初步构想。     

一种软件实现虚拟景深的方法

影视后期制作或图像合成中，动态实时改变显示画面的景深能进一步增强画面的真实感，但由于实时性要求较高，软件实现在处理速度方面容易产生瓶颈。为此，采用预处理的办法，分别对前景和背景进行低通滤波，得到前、背景各自的模拟帧序列，通过调节前景和背景帧序列的位置，模拟确定其各自的变焦程度，然后将前景和背景动态合成具有虚拟景深效果的画面。     

提高前馈神经网络推广能力的若干实际方法

提高前馈神经网络的推广能力是深受关注的问题，本文根据我们最近提出了一个网络有效推广的准则，从提高网络特征提取能力，分类能力和修改神经元激活函数等几方面给出了若干实际方案，我们在任意手写数字识别问题上的实验结果证实了这些方法的有效性。     

2-D SHAPE BLENDING OF NURBS CURVE SHAPES

２－ＤＳＨＡＰＥＢＬＥＮＤＩＮＧＯＦＮＵＲＢＳＣＵＲＶＥＳＨＡＰＥＳＪｉｎＸｉａｏｇａｎｇ；ＢａｏＨｕｊｕｎ；ＰｅｎｇＱｕｎｓｈｅｎｇ２－ＤＳＨＡＰＥＢＬＥＮＤＩＮＧＯＦＮＵＲＢＳＣＵＲＶＥＳＨＡＰＥＳ￥ＪｉｎＸｉａｏｇａｎｇ；ＢａｏＨｕｊｕｎ；Ｐｅ...     

基于工作站和EUCLID－IS的计算机组装结构CAD系统研究

随着集成电路技术的发展及计算机性能的不断提高，计算机组装结构设计在计算机，总体设计中的地位越来越重要，它直接影响到计算机性能的提高。本文针对一个基于工作站和ＥＵＣＬＩＤ－ＩＳ软件的电子计算机组结构ＣＡＤ系统，从软、硬件平台，系统功能及实现等方面进行了讨论，旨在为电子计算机组装结构设计提供一种强有力的、方便的设计工具，有利于增强国产计算机的市场竞争能力。     

乙二胺在沸石分子筛上的TPD研究

以程序升温脱附(TPD)为主要试验手段,对乙二胺在5种不同沸石分子筛上的吸附、脱附行为进行了研究。结果表明,沸石分子筛对乙二胺有着较强的吸附作用,但不同的沸石分子筛对乙二胺的吸附能力受其结构和表面酸性特征的影响而有所不同;适用于交联条件的有效吸附部位为一与沸石分子筛表面酸性有关的弱化学吸附位;乙二胺从不同沸石分子筛表面脱附的动力学与晶内扩散有关,其表观脱附活化能分别为:69.9kJ/mol(5A)、78.3kJ/mol(13X)、22.4kJ/mol(菱沸石)、37.5kJ/m0l(NaY)、44.7kJ/mol(ZSM-5)。     

超细Fe3O4粒子表面包覆酞菁钴性质研究

本文研究了合成载氧体的金属有机化学液相淀积法制造工艺，所得产物经ＴＥＭ、ＸＰＳ、Ｍｏｓｓ－ｂａｕｅｒ谱和Ｂ－Ｈ仪等手段，研究了它的结构和磁性能。实验表明，酞青钴以薄层形式包覆在Ｆｅ＿３Ｏ＿４的表面，封闭了Ｆｅ＿３Ｏ＿４的表面孔洞，稳定了Ｆｅ＿３Ｏ＿４的物相，增强了磁性能。     

基于图形约束的工程图纸扫描图象表面粗糙度的自动识别

本文通过分析现有工程图纸扫描图象的识别与理解系统，提出了表面粗造度的自动识别算法，从而弥补了以往系统的不足，基于图形约束的表面粗造度整体识别算法符合技术人员的读图规律，处理速度快，可靠性高，该算法已在微机上调试成功。     

喷锚网施工技术在高层建筑深基坑边坡支护中的应用

以南方航空公司新村１～３＃高层建筑的深基坑边坡支护为例，阐述了喷锚网施工技术应用的基本原理，总结了该工程设计、施工及工程质量控制等技术应用方面的一些经验。